Individual
JOSEPH RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
19 WHITNEY AVE, PORTLAND, ME 04102-2521
(774) 269-4700
Mailing address
PO BOX 8117, PORTLAND, ME 04104-8117
(774) 269-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
ME
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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